05D2168036 CLIA NUMBER - LA COAST PACE LLC

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CLIA Record

Field Name Field Value
CLIA Number 05D2168036
LAB Type Other - ALL INCLUSIVE CARE
Facility Name LA COAST PACE LLC
Street 1220 E 4TH ST
City LONG BEACH
State CA
ZIP 90802
Phone 800 734-8041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Other - ALL INCLUSIVE CARE
Lab Director SABRINA VILLALBA

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This page was last updated on: 9/29/2025